STAJYER FİZYOTERAPİSTLERDE NONSPESİFİK BEL AĞRISININ POSTÜR, KOR ENDURANS VE LUMBOPELVİK STABİLİTE İLE İLİŞKİSİ

Öz

Amaç: Çalışmamızda nonspesifik bel ağrısı (NSBA) olan ve olmayan stajyer fizyoterapistlerin postür, kor endurans ve lumbopelvik stabilitelerinin karşılaştırılması amaçlanmıştır. Yöntem: Çalışmaya 2021-2022 eğitim ve öğretim yılında Süleyman Demirel Üniversitesi Sağlık Bilimleri Fakültesi Fizyoterapi ve Rehabilitasyon Bölümü’nde öğrenim gören 97 öğrenci dahil edildi. Katılımcıların fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Anketi-Kısa Formu (UFAA-KF) ile belirlendi. Bel ağrısı şiddeti Sayısal Ağrı Derecelendirme Ölçeği (SADÖ) ile değerlendirildi. Postür analizi için New York Postür Analizi Skalası (NYPAS) ve bel ağrısına bağlı yetersizliklerin değerlendirilmesi amacıyla da Oswestry Bel Özürlülük İndeksi (OÖİ) kullanıldı. Katılımcıların kor endurans ve lumbopelvik stabilitelerinin değerlendirmesi için McGill Torso Endurans Test Bataryası ile Lumbopelvik Stabilite Manşon Testi (LPSMT) yapıldı. Sonuçlar: Çalışma, bel ağrısı olan (GrupAğrılı, n=46, %51,1) ve olmayan (GrupAğrısız, n=44, %48,9) toplam 90 stajyer fizyoterapist ile tamamlandı. Gruplar, postür özellikleri bakımından benzerlik gösterse de (p>0,05) fiziksel aktivite düzeyinin ve bel ağrısına bağlı yetersizliklerin bel ağrılı grupta istatistiksel olarak anlamlı derecede yüksek olduğu bulundu (p<0,05). GrupAğrılı’nın LPSMT skorunun GrupAğrısız’a kıyasla anlamlı derecede düşük olduğu (p<0,05), GrupAğrısız’ın gövde ekstansör kas endurans süresinin anlamlı derecede daha yüksek (p<0,05) olduğu tespit edildi. Ayrıca, bel ağrısı olan stajyer fizyoterapistlerin ağrı süresi ve aktivite sırasındaki SADÖ skorları arttıkça OÖİ skorları da artış gösterdi (sırasıyla rho=0,328; p<0,05 ve rho=0,466; p<0,01). Tartışma: Çalışmamızdan elde edilen veriler ışığında, stajyer fizyoterapistlerde bel ağrısının; postür değişikliğine neden olmamakla birlikte, gövde ekstansör kas enduransında azalma, bel ağrısı kaynaklı yetersizlik ve zayıf lumbopelvik stabilite ile ilişkili olabileceği öngörülmüştür.

Anahtar Kelimeler

• Bel Ağrısı
• Fiziksel Aktivite
• Fizyoterapistler
• Kor Endurans
• Postür

THE RELATIONSHIP OF NONSPECIFIC LOW BACK PAIN WITH POSTURE, CORE ENDURANCE AND LUMBOPELVIC STABILITY IN INTERN PHYSIOTHERAPISTS

Abstract

Purpose: In our study, it was aimed to compare the posture, core endurance and lumbopelvic stability of intern physiotherapist with and without nonspecific low back pain (NLBP). Methods: Ninety-seven students studying in the Department of Physiotherapy and Rehabilitation of the Faculty of Health Sciences of Süleyman Demirel University in the 2021-2022 academic year were included in the study. The physical activity levels of the participants were determined by the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Low back pain severity was evaluated with the Numerical Pain Rating Scale (NRS). The New York Posture Analysis Scale (NYPAS) was used for posture analysis, and the Oswestry Low Back Disability Index (ODI) was used to evaluate low back pain related disabilities. The Lumbopelvic Stability Cuff Test (LPSCT) was performed with the McGill Torso Endurance Test Battery to evaluate the core endurance and lumbopelvic stability of the participants. Results: The study was completed with a total of 90 intern physiotherapist with (GroupPain, n=46, 51.1%) and without (GroupPainless, n=44, 48.9%) low back pain. Although the groups were similar in terms of posture characteristics (p>0.05), it was found that the level of physical activity and low back pain-related inadequacies were statistically significantly higher in the low back pain group (p<0.05). It was determined that the LPSCT score of GroupPain was significantly lower than that of GroupPainless (p<0.05), and the trunk extensor muscle endurance time of GroupPainless was significantly higher (p<0.05). In addition, as the duration of pain and NRS scores during activity of the intern physiotherapists with low back pain increased, the ODI scores also increased (rho=0.328, p<0.05 and rho=0.466, p<0.01, respectively). Conclusion: In the light of the data obtained from our study, low back pain in intern physiotherapists; although it does not cause a change in posture, it has been predicted that it may be associated with decreased trunk extensor muscle endurance, insufficiency due to low back pain, and poor lumbopelvic stability.

Keywords

• Low Back Pain
• Physical Activity
• Physiotherapists
• Core Endurance
• Posture

Kaynakça

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